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71.
UK statutory guidance for practitioners suggests that indebtedness is an area where safeguarding red flags should be raised and action taken to minimize the risk of exploitation. Yet, our research shows that unaccompanied migrant children have complex indebted relationships, which can range from extractive to connective. Drawing on interviews with unaccompanied children, we show that these indebted relationships can include financial debt to smugglers, responsibilities to support transnational families, as well as social obligations to peers and others. Their accounts present a nuanced understanding of the taboo nature of indebted relationships, not to be shared with the practitioners in their lives. This is due, in part, to the potential threat of reporting to the Home Office, which might jeopardize their immigration status. In response to this weaponization of social care, we demonstrate how children turn to peer networks of support, creating their own alternative forms of social protection. In so doing, we complicate critiques of adultification, which traditionally highlight the ways that racially minoritized children may be treated as adults—to their detriment. In so doing, we show that because indebtedness is normatively linked to adulthood, unaccompanied children's hopes and fears may be rendered unsayable and therefore unsupportable in social care, all in the name of safeguarding.  相似文献   
72.
This article identifies two different perspectives used when studying self‐help groups: the professional treatment perspective and the voluntary action perspective. An outline of the perspectives leads to a discussion of their consequences for self‐help group research. The authors categorize about five hundred scientific publications from all over the world on the basis of the perspectives they present on self‐help groups; the results indicate that different perspectives seem to be preferred in different countries and when discussing different subjects. Finally, the authors suggest questions and concepts that the perspectives generate, and they emphasize the importance of being aware of which perspective is used in the study of self‐help groups.  相似文献   
73.
We aimed to explore the association between age of onset of gambling problems and current psychopathological and clinical status, personality profile and therapeutic outcome in a sample of pathological gamblers. A total of 904 consecutive pathological gambling patients were administered several instruments about gambling behavior, psychopathology and personality. They received a 4-month cognitive-behavioral group treatment. Information of dropouts and relapses during treatment was registered. Older age of onset of gambling problems was associated with higher general psychopathology (SCL-90-R Paranoid Ideation, Psychoticism, Depression; P < 0.015). Younger age of onset was related to greater severity of pathological gambling (P < 0.015), higher novelty seeking, and lower self-directedness (P < 0.015). No statistically significant association was found between age of onset and relapse and dropouts during treatment. Age of onset of gambling problems seems to influence the clinical presentation of pathological gambling but not treatment outcome.  相似文献   
74.
The excess of zeros is not a rare feature in count data. Statisticians advocate the Poisson-type hurdle model (among other techniques) as an interesting approach to handle this data peculiarity. However, the frequency of gross errors and the complexity intrinsic to some considered phenomena may render this classical model unreliable and too limiting. In this paper, we develop a robust version of the Poisson hurdle model by extending the robust procedure for GLM of Cantoni and Ronchetti (2001) to the truncated Poisson regression model. The performance of the new robust approach is then investigated via a simulation study, a real data application and a sensitivity analysis. The results show the reliability of the new technique in the neighborhood of the truncated Poisson model. This robust modelling approach is therefore a valuable complement to the classical one, providing a tool for reliable statistical conclusions and to take more effective decisions.  相似文献   
75.
This paper investigates two approaches to patient classification: using patient classification only for sequencing patient appointments at the time of booking and using patient classification for both sequencing and appointment interval adjustment. In the latter approach, appointment intervals are adjusted to match the consultation time characteristics of different patient classes. Our simulation results indicate that new appointment systems that utilize interval adjustment for patient class are successful in improving doctors' idle time, doctors' overtime and patients' waiting times without any trade‐offs. Best performing appointment systems are identified for different clinic environments characterized by walk‐ins, no‐shows, the percentage of new patients, and the ratio of the mean consultation time of new patients to the mean consultation time of return patients. As a result, practical guidelines are developed for managers who are responsible for designing appointment systems.  相似文献   
76.
The purpose of this study was to examine the viability of hybrid competitive strategies, which combine differentiation and cost elements, and their impact on organizational performance in comparison to pure strategies and ‘stuck‐in‐the‐middle’ combinations. Previous studies have focused above all on US data. The analysis carried out in this paper has centred on a multisectorial sample of 164 Spanish firms. The findings show that a large number of the organizations use different types of hybrid strategies and also that such strategies tend to be associated with higher levels of firm performance, particularly those strategies which place emphasis on a greater number of strategic dimensions, and specifically on innovation differentiation.  相似文献   
77.
With the increase in separations, family recomposition, and new modes of cohabitation, the contours of the family have become less clearly defined. It has become important to separate the family group from its statistical framework – the household – while taking account, in both time and space, of the interpersonal relationships built up over the life-course. In response to these objectives, the French National Institute of Demographic Studies (INED) conducted two surveys, Proches et Parents in 1990 and Biographies et Entourage in 2001, which use new concepts to address these new family realities: the local family circle which, for an individual, includes family members living in the same municipality, with whom he/she has a close and strong relationship in terms of mutual support and regular contact, and the concept of entourage (contact circle), which includes close relatives, all co-resident persons, whether relatives or not, but also significant others who have marked the individual's life. Far from being limited to the immediate family, the universe of familial and elective relationships covers a much more complex reality whose contours may be limited to the family or extended to a wider circle of relatives and friends. It describes an affective and residential proximity that reveals a mutual support network of varying strength, which may or may not be solicited, which may be avoided or, on the contrary, revived in response to events affecting its members.  相似文献   
78.
Psychological abuse of older adults is a hidden and pervasive problem that is not well conceptualized nor well measured. Goals. The goals were to (a) conceptualize psychological abuse using three-dimensional concept maps, and (b) develop theoretical models. Methods. Statements describing the construct were generated by local and national panels. These were sorted and rated using Concept Systems software whereby the concepts were depicted as a map. Results. The concept maps guided development of theoretical hierarchies. Significance. Theoretical models may help to develop measures to estimate prevalence better and may enable more precise screening for triage into appropriate interventions.  相似文献   
79.
Using data from the Netherlands Kinship Panel Surveys, this study investigated divorced and widowed parents' (N = 350) decision making about living arrangements after repartnering: Twenty‐eight percent lived apart together (LAT) and others lived together (remarried or cohabiting). The focus was on determinants of LAT: Women, older respondents, residents of larger cities, and parents of 2 or more children are more apt to LAT. On the basis of additional qualitative interviews with LAT respondents (n = 25), the reasons for LAT were investigated. Data showed that many children are involved in pure boundary work in an effort to guarantee the continuation of their family. Other (step)children use the sabotage or refusal types of boundary work, not accepting the new partner or excluding a parent from contact, especially with grandchildren. Many of these efforts are successful. To preserve the ties with their children, parents often adapt their decision making about the living arrangements with a new partner accordingly.  相似文献   
80.
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